Mrs Erica Felisa Thompson, LCSW, MSW, MBA | |
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
(726) 228-0296 | |
Not Available |
Full Name | Mrs Erica Felisa Thompson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194181743 | NPI | - | NPPES |
62345 | Other | TX | CLKINICAL SOCIAL WORK LICENSE |
14949119 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 62345 (Texas) | Primary |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
Entity Name | Beneath The Surface Therapy Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053025882 PECOS PAC ID: 6002280922 Enrollment ID: O20230316000404 |
Mailing Address | Practice Location Address |
---|---|
Mrs Erica Felisa Thompson, LCSW, MSW, MBA 7218 Misty Ridge Dr, Converse, TX 78109-2709 Ph: (210) 992-9367 | Mrs Erica Felisa Thompson, LCSW, MSW, MBA 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (726) 228-0296 |
Mrs. Kelly Marie Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4141 | |
Mrs. Crushunda M Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-323-5226 | |
Mrs. Shawndra Yvette Pickett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5792 Fax: 210-916-5102 | |
Sheila J Marquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9582 | |
Tyler David Dumars, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 682-230-0670 | |
Rosa M Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Dr., Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5792 Fax: 210-916-5102 |